scholarly journals Subject-Specific Modeling of Femoral Torsion Influences the Prediction of Hip Loading During Gait in Asymptomatic Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Enrico De Pieri ◽  
Bernd Friesenbichler ◽  
Renate List ◽  
Samara Monn ◽  
Nicola C. Casartelli ◽  
...  
Keyword(s):  
Cartilage Damage ◽  
Hip Osteoarthritis ◽  
Muscle Forces ◽  
Joint Mechanics ◽  
Femoral Torsion ◽  
Femoral Antetorsion ◽  
Musculoskeletal Models ◽  
Subject Specific ◽  
Hip Kinematics ◽  
Kinematics And Kinetics

Hip osteoarthritis may be caused by increased or abnormal intra-articular forces, which are known to be related to structural articular cartilage damage. Femoral torsional deformities have previously been correlated with hip pain and labral damage, and they may contribute to the onset of hip osteoarthritis by exacerbating the effects of existing pathoanatomies, such as cam and pincer morphologies. A comprehensive understanding of the influence of femoral morphotypes on hip joint loading requires subject-specific morphometric and biomechanical data on the movement characteristics of individuals exhibiting varying degrees of femoral torsion. The aim of this study was to evaluate hip kinematics and kinetics as well as muscle and joint loads during gait in a group of adult subjects presenting a heterogeneous range of femoral torsion by means of personalized musculoskeletal models. Thirty-seven healthy volunteers underwent a 3D gait analysis at a self-selected walking speed. Femoral torsion was evaluated with low-dosage biplanar radiography. The collected motion capture data were used as input for an inverse dynamics analysis. Personalized musculoskeletal models were created by including femoral geometries that matched each subject’s radiographically measured femoral torsion. Correlations between femoral torsion and hip kinematics and kinetics, hip contact forces (HCFs), and muscle forces were analyzed. Within the investigated cohort, higher femoral antetorsion led to significantly higher anteromedial HCFs during gait (medial during loaded stance phase and anterior during swing phase). Most of the loads during gait are transmitted through the anterior/superolateral quadrant of the acetabulum. Correlations with hip kinematics and muscle forces were also observed. Femoral antetorsion, through altered kinematic strategies and different muscle activations and forces, may therefore lead to altered joint mechanics and pose a risk for articular damage. The method proposed in this study, which accounts for both morphological and kinematic characteristics, might help in identifying in a clinical setting patients who, as a consequence of altered femoral torsional alignment, present more severe functional impairments and altered joint mechanics and are therefore at a higher risk for cartilage damage and early onset of hip osteoarthritis.

scholarly journals Development and Validation of a Finite Element Model of the Pelvis

2003 ◽  
Author(s):  
Andrew E. Anderson ◽  
Christopher L. Peters ◽  
Benjamin D. Tuttle ◽  
Jeffrey A. Weiss
Keyword(s):  
Finite Element ◽  
Cortical Thickness ◽  
Hip Joint ◽  
Material Properties ◽  
Hip Osteoarthritis ◽  
Bone Geometry ◽  
Diagnostic Methods ◽  
Fe Model ◽  
Joint Mechanics ◽  
Subject Specific

An improved understanding of the stress distribution in and around the hip joint may provide important information regarding the relationship between altered pelvic and acetabular geometry and development of hip osteoarthritis, as well as point to improved diagnostic methods and analysis of surgical treatment. It is very difficult to accurately assess how changes in pelvic geometry affect the stress and strain distribution of the joint in an experimental setting. The finite element (FE) method provides an alternative approach for study of hip joint mechanics. Although FE models of the pelvis have been developed, validation by direct comparison with subject-specific experimental measurements has not been performed. In addition, previous models have utilized over-simplified bone geometry and homogeneous material properties. The objectives of this study were to 1) develop and validate a FE model of the pelvis using subject-specific measurements of bone geometry as well as location-dependent cortical thickness and trabecular bone elastic modulus, and 2) assess the sensitivity of the subject-specific FE model to changes in material properties and cortical thickness.

scholarly journals Real-Time Musculoskeletal Kinematics and Dynamics Analysis Using Marker- and IMU-Based Solutions in Rehabilitation

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1804
Author(s):  
Dimitar Stanev ◽  
Konstantinos Filip ◽  
Dimitrios Bitzas ◽  
Sokratis Zouras ◽  
Georgios Giarmatzis ◽  
...  
Keyword(s):  
Real Time ◽  
Small Error ◽  
Grand Challenge ◽  
Muscle Forces ◽  
Time Estimates ◽  
Musculoskeletal Models ◽  
Open Source Framework ◽  
Measurement Units ◽  
Technical Details ◽  
Significant Milestone

This study aims to explore the possibility of estimating a multitude of kinematic and dynamic quantities using subject-specific musculoskeletal models in real-time. The framework was designed to operate with marker-based and inertial measurement units enabling extensions far beyond dedicated motion capture laboratories. We present the technical details for calculating the kinematics, generalized forces, muscle forces, joint reaction loads, and predicting ground reaction wrenches during walking. Emphasis was given to reduce computational latency while maintaining accuracy as compared to the offline counterpart. Notably, we highlight the influence of adequate filtering and differentiation under noisy conditions and its importance for consequent dynamic calculations. Real-time estimates of the joint moments, muscle forces, and reaction loads closely resemble OpenSim’s offline analyses. Model-based estimation of ground reaction wrenches demonstrates that even a small error can negatively affect other estimated quantities. An application of the developed system is demonstrated in the context of rehabilitation and gait retraining. We expect that such a system will find numerous applications in laboratory settings and outdoor conditions with the advent of predicting or sensing environment interactions. Therefore, we hope that this open-source framework will be a significant milestone for solving this grand challenge.

scholarly journals Subject-Specific Tendon-Aponeurosis Definition in Hill-Type Model Predicts Higher Muscle Forces in Dynamic Tasks

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e44406 ◽  
Author(s):  
Pauline Gerus ◽  
Guillaume Rao ◽  
Eric Berton
Keyword(s):  
Type Model ◽  
Muscle Forces ◽  
Subject Specific

The Effects of Walking Velocity and Age on Hip Kinematics and Kinetics

1978 ◽  
Vol &NA; (132) ◽  
pp. 140???144 ◽  
Author(s):  
ROY D. CROWINSHIELD ◽  
RICHARD A. BRAND ◽  
RICHARD c. JOHNSTON
Keyword(s):  
Hip Kinematics ◽  
Walking Velocity ◽  
Kinematics And Kinetics

scholarly journals Real-Time Musculoskeletal Kinematics and Dynamics Analysis Using Marker- and IMU-based Solutions in Rehabilitation

2021 ◽  
Author(s):  
Dimitar Stanev ◽  
Konstantinos Filip ◽  
Dimitrios Bitzas ◽  
Sokratis Zouras ◽  
Georgios Giarmatzis ◽  
...  
Keyword(s):  
Real Time ◽  
Small Error ◽  
Grand Challenge ◽  
Muscle Forces ◽  
Time Estimates ◽  
Musculoskeletal Models ◽  
Open Source Framework ◽  
Measurement Units ◽  
Technical Details ◽  
Significant Milestone

This study aims to explore the possibility of estimating a multitude of kinematic and dynamic quantities using subject-specific musculoskeletal models in real-time. The framework was designed to operate with marker-based and inertial measurement units enabling extensions far beyond dedicated motion capture laboratories. We present the technical details for calculating the kinematics, generalized forces, muscle forces, joint reaction loads, and predicting ground reaction wrenches during walking. Emphasis was given to reduce computational latency while maintaining accuracy as compared to the offline counterpart. Notably, we highlight the influence of adequate filtering and differentiation under noisy conditions and its importance for consequent dynamic calculations. Real-time estimates of the joint moments, muscle forces, and reaction loads closely resemble OpenSim's offline analyses. Model-based estimation of ground reaction wrenches demonstrates that even a small error can negatively affect other estimated quantities. An application of the developed system is demonstrated in the context of rehabilitation and gait retraining. We expect that such a system will find numerous applications in laboratory settings and outdoor conditions with the advent of predicting or sensing environment interactions. Therefore, we hope that this open-source framework will be a significant milestone for solving this grand challenge.

scholarly journals Minimal medical imaging can accurately reconstruct geometric bone models for musculoskeletal models

2018 ◽  
Author(s):  
Edin K. Suwarganda ◽  
Laura E. Diamond ◽  
David J. Saxby ◽  
David G. Lloyd ◽  
A. Killen Bryce ◽  
...  
Keyword(s):  
Motion Capture ◽  
Linear Scaling ◽  
Bone Segmentation ◽  
Shape Modelling ◽  
Distance Error ◽  
Musculoskeletal Models ◽  
Subject Specific ◽  
Statistical Shape ◽  
Statistical Shape Modelling ◽  
Complete Sets

AbstractAccurate representation of subject-specific bone anatomy in lower-limb musculoskeletal models is important for human movement analyses and simulations. Mathematical methods can reconstruct geometric bone models using incomplete imaging of bone by morphing bone model templates, but the validity of these methods has not been fully explored. The purpose of this study was to determine the minimal imaging requirements for accurate reconstruction of geometric bone models. Complete geometric pelvis and femur models of 14 healthy adults were reconstructed from magnetic resonance imaging through segmentation. From each complete bone segmentation, three sets of incomplete segmentations (set 1 being the most incomplete) were created to test the effect of imaging incompleteness on reconstruction accuracy. Geometric bone models were reconstructed from complete sets, three incomplete sets, and two motion capture-based methods. Reconstructions from (in)complete sets were generated using statistical shape modelling, followed by host-mesh and local-mesh fitting through the Musculoskeletal Atlas Project Client. Reconstructions from motion capture-based methods used positional data from skin surface markers placed atop anatomic landmarks and estimated joint centre locations as target points for statistical shape modelling and linear scaling. Accuracy was evaluated with distance error (mm) and overlapping volume similarity (%) between complete bone segmentation and reconstructed bone models, and statistically compared using a repeated measure analysis of variance (p<0.05). Motion capture-based methods produced significantly higher distance error than reconstructions from (in)complete sets. Pelvis volume similarity reduced significantly with the level of incompleteness: complete set (92.70±1.92%), set 3 (85.41±1.99%), set 2 (81.22±3.03%), set 1 (62.30±6.17%), motion capture-based statistical shape modelling (41.18±9.54%), and motion capture-based linear scaling (26.80±7.19%). A similar trend was observed for femur volume similarity. Results indicate that imaging two relevant bone regions produces overlapping volume similarity > 80% compared to complete segmented bone models. These findings have implications for improving movement analysis and simulation with subject-specific musculoskeletal models.

scholarly journals Comparison of properties determined using electromechanical assessment (Arthro-BST™) with macroscopic and histological properties in symptomatic human articular cartilage of the hip

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Taku Ukai ◽  
Masato Sato ◽  
Shiho Wasai ◽  
Takumi Takahashi ◽  
Haruka Omura ◽  
...  
Keyword(s):  
Histological Grade ◽  
Cartilage Damage ◽  
Hip Osteoarthritis ◽  
Cartilage Degeneration ◽  
Research Society ◽  
Cartilage Tissue ◽  
Human Articular Cartilage ◽  
Mankin Score ◽  
Osteoarthritis Research Society ◽  
Noninvasive Assessment

Abstract Background Cartilage degeneration is assessed using various methods. Although macroscopic evaluation can directly measure cartilage degeneration, it cannot accurately assess cartilage properties. Histological examination is one of the most accurate methods for evaluating cartilage degeneration. However, it is invasive and requires collection of cartilage tissue. In contrast, the Arthro-BST™ probe can assess cartilage properties noninvasively. This study aimed to evaluate the effectiveness of the Arthro-BST in assessing cartilage degeneration by comparing macroscopic (International Cartilage Repair Society [ICRS] classification) and histological evaluations (modified Mankin score and Osteoarthritis Research Society International [OARSI] histological grade). Methods Fourteen femoral heads were excised from 13 patients during surgery to treat hip osteoarthritis or femoral fracture. The ICRS score was used for macroscopic evaluation of cartilage degeneration. The Arthro-BST was applied at sites matching the areas of cartilage damage. The sites assessed using the ICRS classification and Arthro-BST were evaluated histologically (modified Mankin score and OARSI histological grade), and these were compared with the Arthro-BST results. Results The ICRS classification identified significant differences between grades 1 and 3 (p < 0.01), between grades 1 and 4 (p < 0.01), between grades 2 and 3 (p < 0.01), and between grades 2 and 4 (p < 0.01). Significant correlations were observed between the Arthro-BST results and the ICRS score, modified Mankin score (structure, cellularity, matrix staining, total score), and OARSI histological grade. Conclusions In the assessment of hip osteoarthritis, the Arthro-BST results correlated with those of macroscopic and histological evaluations. The Arthro-BST is useful for assessing hip osteoarthritis and may be helpful for noninvasive assessment of cartilage degeneration.

scholarly journals The anterolateral ligament is a secondary stabilizer in the knee joint

2019 ◽  
Vol 8 (11) ◽  
pp. 509-517 ◽  
Author(s):  
Kyoung-Tak Kang ◽  
Yong-Gon Koh ◽  
Kyoung-Mi Park ◽  
Chong-Hyuck Choi ◽  
Min Jung ◽  
...  
Keyword(s):  
Knee Joint ◽  
Muscle Activation ◽  
Cruciate Ligament ◽  
Knee Kinematics ◽  
Anterolateral Ligament ◽  
Loading Conditions ◽  
Joint Stability ◽  
Musculoskeletal Models ◽  
Subject Specific ◽  
Cycle Loading

Objectives The aim of this study was to investigate the biomechanical effect of the anterolateral ligament (ALL), anterior cruciate ligament (ACL), or both ALL and ACL on kinematics under dynamic loading conditions using dynamic simulation subject-specific knee models. Methods Five subject-specific musculoskeletal models were validated with computationally predicted muscle activation, electromyography data, and previous experimental data to analyze effects of the ALL and ACL on knee kinematics under gait and squat loading conditions. Results Anterior translation (AT) significantly increased with deficiency of the ACL, ALL, or both structures under gait cycle loading. Internal rotation (IR) significantly increased with deficiency of both the ACL and ALL under gait and squat loading conditions. However, the deficiency of ALL was not significant in the increase of AT, but it was significant in the increase of IR under the squat loading condition. Conclusion The results of this study confirm that the ALL is an important lateral knee structure for knee joint stability. The ALL is a secondary stabilizer relative to the ACL under simulated gait and squat loading conditions. Cite this article: Bone Joint Res 2019;8:509–517.

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